| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629594825 | CARVER | ADAM | T | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1609423904 | HENDERSON | LAUREN | A | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1265731863 | MAKER | JARED | MATTHEW | | 611 W PARK ST | URBANA | IL | 61801 |
| 1154803351 | NGUYEN | CHRISTOPHER | | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1053850586 | PENAS | ALGER | | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1851818942 | SHAW | APRIL | M | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1669789327 | SHIMA | MARK | T. | | 611 W. PARK ST. | URBANA | IL | 618012500 |
| 1447327036 | ZEMAN | DAVID | R | | 611 W PARK ST | URBANA | IL | 618012529 |
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